Organization Active NPI

Union Hospital District Dba Cha Family Medicine

Doing business as CHA Family Medicine

  • Family Medicine Physician
  • Union, SC
National Provider Identifier
1871732271
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNION HOSPITAL DISTRICT DBA CHA FAMILY MEDICINE
Doing business as
CHA Family Medicine
Practice address
801 West Main St
Union, SC 29379
Phone
(864) 429-8029
Fax
(864) 429-3515
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecka French
Title
Practice Manager
Phone
(864) 429-8029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

801 West Main St
Union, SC 29379

Mailing address

801 W Main St.
Union, SC 29379
Phone (864) 429-8029

Other identifiers 1

IdentifierTypeStateIssuer
GP5096MedicaidSC

Other names 1

  • CHA Family Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1871732271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST.",
            "city": "UNION",
            "state": "SC",
            "postal_code": "29379",
            "telephone_number": "864-429-8029",
            "fax_number": "864-429-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WEST MAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "29379",
            "telephone_number": "864-429-8029",
            "fax_number": "864-429-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL DISTRICT DBA CHA FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "REBECKA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-429-8029"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5096",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHA Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.